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水飞蓟宾抑制 APCmin/+ 小鼠肠道肿瘤发生的化学预防作用。

Chemoprevention of intestinal tumorigenesis in APCmin/+ mice by silibinin.

机构信息

Department of Pharmaceutical Sciences, School of Pharmacy and University of Colorado Cancer Center, University of Colorado Denver, Aurora, Colorado 80045, USA.

出版信息

Cancer Res. 2010 Mar 15;70(6):2368-78. doi: 10.1158/0008-5472.CAN-09-3249. Epub 2010 Mar 9.

Abstract

Chemoprevention is a practical and translational approach to reduce the risk of various cancers including colorectal cancer (CRC), which is a major cause of cancer-related deaths in the United States. Accordingly, here we assessed chemopreventive efficacy and associated mechanisms of long-term silibinin feeding on spontaneous intestinal tumorigenesis in the APC(min/+) mice model. Six-week-old APC(min/+) mice were p.o. fed with vehicle control (0.5% carboxymethyl cellulose and 0.025% Tween 20 in distilled water) or 750 mg silibinin/kg body weight in vehicle for 5 d/wk for 13 weeks and then sacrificed. Silibinin feeding strongly prevented intestinal tumorigenesis in terms of polyp formation in proximal, middle, and distal portions of small intestine by 27% (P < 0.001), 34% (P < 0.001), and 49% (P < 0.001), respectively. In colon, we observed 55% (P < 0.01) reduction in number of polyps by silibinin treatment. In size distribution analysis, silibinin showed significant decrease in large-size polyps (>3 mm) by 66% (P < 0.01) and 88% (P < 0.001) in middle and distal portions of small intestine, respectively. More importantly, silibinin caused a complete suppression in >3 mm sized polyps and 92% reduction in >2 to 3 mm sized polyps in colon. Molecular analyses of polyps suggested that silibinin exerts its chemopreventive efficacy by inhibiting cell proliferation, inflammation, and angiogenesis; inducing apoptosis; decreasing beta-catenin levels and transcriptional activity; and modulating the expression profile of cytokines. These results show for the first time the efficacy and associated mechanisms of long-term p.o. silibinin feeding against spontaneous intestinal tumorigenesis in the APC(min/+) mice model, suggesting its chemopreventive potential against intestinal cancers including CRC.

摘要

化学预防是一种实用且可转化的方法,可降低包括结直肠癌(CRC)在内的多种癌症的风险,CRC 是美国癌症相关死亡的主要原因。因此,在这里我们评估了长期给予水飞蓟宾对 APC(min/+)小鼠模型自发性肠道肿瘤发生的化学预防效果及其相关机制。将 6 周龄 APC(min/+)小鼠用口服给予 vehicle 对照(0.5%羧甲基纤维素和 0.025%吐温 20 在蒸馏水中)或 750 mg 水飞蓟宾/公斤体重 vehicle 连续 5 天/周共 13 周,然后处死。水飞蓟宾喂养强烈地预防了肠道肿瘤的发生,在小肠近端、中段和远端,息肉形成分别减少了 27%(P < 0.001)、34%(P < 0.001)和 49%(P < 0.001)。在结肠中,我们观察到水飞蓟宾处理使息肉数量减少 55%(P < 0.01)。在大小分布分析中,水飞蓟宾在小肠中段和远端,大尺寸息肉(>3 毫米)分别减少了 66%(P < 0.01)和 88%(P < 0.001)。更重要的是,水飞蓟宾完全抑制了>3 毫米大小的息肉,>2 至 3 毫米大小的息肉减少了 92%。息肉的分子分析表明,水飞蓟宾通过抑制细胞增殖、炎症和血管生成;诱导细胞凋亡;降低β-连环蛋白水平和转录活性;以及调节细胞因子的表达谱发挥其化学预防作用。这些结果首次表明,长期口服给予水飞蓟宾对 APC(min/+)小鼠模型自发性肠道肿瘤发生的疗效及其相关机制,提示其对包括 CRC 在内的肠道癌症的化学预防潜力。

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